Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $337.64 / $337.64 / $337.64	Facility	26	$337.64	$337.64	$337.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.83 / $234.68 / $264.24	Professional		$193.83	$234.68	$264.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.76 / $51.67 / $55.49	Professional	26	$42.76	$51.67	$55.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $150.83 / $176.84 / $208.75	Professional	TC	$150.83	$176.84	$208.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.35 / $253.84 / $457.97	Professional		$237.35	$253.84	$457.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.88 / $64.11 / $107.23	Professional	26	$44.88	$64.11	$107.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $132.82 / $189.74 / $350.73	Professional	TC	$132.82	$189.74	$350.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.06 / $426.83 / $474.21	Professional		$203.06	$426.83	$474.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.45 / $105.43 / $112.97	Professional	26	$48.45	$105.43	$112.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $149.09 / $321.39 / $362.50	Professional	TC	$149.09	$321.39	$362.50
United Facility/Professional Professional Modifier Low / Median / High Price $200.80 / $267.37 / $394.35	Professional		$200.80	$267.37	$394.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.01 / $70.45 / $110.96	Professional	26	$50.01	$70.45	$110.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $161.81 / $216.23 / $337.58	Professional	TC	$161.81	$216.23	$337.58